Bushra Khan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

216721 Issued in MA

Practice address

152 Conant Street
Lahey Beverly
Beverly, MA 01915-2511

Phone

(978) 927-1919

Fax

(978) 927-6102

NPI assigned

May 25, 2006

Last updated

Apr 23, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bushra Farooqi Former name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Massachusetts General Physicians Organization Inc

  • Dermatology Physician
  • Boston, MA
  • NPI 1801874573

  Internal Medicine

  Medicare reassignment NPD
• Lahey Clinic, Inc

  • Internal Medicine Physician
  • Peabody, MA
  • NPI 1063447316
  Medicare reassignment
• Mass General Brigham Medical Group Northern Massachusetts Inc

  • Emergency Medicine Physician
  • Salem, MA
  • NPI 1588606123

  Internal Medicine

  NPD (past)
• NSPG Billing LLC

  • Urology Physician
  • Newburyport, MA
  • NPI 1144981721
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1205882966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 CONANT STREET",
            "address_2": "LAHEY BEVERLY",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152511",
            "telephone_number": "978-927-1919",
            "fax_number": "978-927-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 CONANT STREET",
            "address_2": "LAHEY BEVERLY",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152511",
            "telephone_number": "978-927-1919",
            "fax_number": "978-927-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "BUSHRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "216721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110038108A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BUSHRA",
            "last_name": "FAROOQI",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caitlin Kenny, LICSW
• Joi Ellen Kenny, FAMILY PARTNER
• Patricia Anne Kenny, RN PCNS
• Alexandra Keresztes
• Kettle Cove Counseling, LLC
• Shahrokh Charles Khani, MD PHD
• Srijesa Khasnabish, DO
• Samantha Norman Kheboian, LAT, ATC
• Ramsey Khudairi, DPT
• Catlin Converse Khurana, M.S., CCC-SLP

• Internal Medicine Physician in Beverly, MA
• Providers in Beverly, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.